DR. JOHN ELLIOTT CLARK M.D. NPI 1174610570

NPI Information

  • NPI: 1174610570
  • Provider Name: DR. JOHN ELLIOTT CLARK, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 50 IRVING ST NW
    STE 412
    WASHINGTON, DC
    ZIP 20422
  • Phone: (202) 507-9952

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NPI Details

DR. John Elliott Clark, M.D. is a surgery in Washington, DC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. John Elliott Clark, M.D. NPI is 1174610570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 IRVING ST NW
STE 412
WASHINGTON, DC
ZIP 20422-001
Phone: (202) 507-9952
Fax: (202) 836-6921

The enumeration date for this NPI number is 10/6/2006 and was last updated on 2/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMD14155DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D18049MEDICARE UPINDISTRICT OF COLUMBIA
2090921MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIAMEDICARE NUMBER
37666OTHERDISTRICT OF COLUMBIACAREFIRST
400247377MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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